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Dr. G. Usha Rani

MD

Gynaecologist, Chennai

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Dr. G. Usha Rani MD Gynaecologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. G. Usha Rani
Dr. G. Usha Rani is an experienced Gynaecologist in Porur, Chennai. She studied and completed MD . You can consult Dr. G. Usha Rani at Sri Ramachandra Medical Centre (SRMC) in Porur, Chennai. Book an appointment online with Dr. G. Usha Rani on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. Find the best Gynaecologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hi I can use nonfat capsules I have pcod problem egg not growing ovarian cyst not there So I have to reduce weight 64 kg Height 5.3 Age 24 Please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MSC IN DIETETICS AND NEUTRITION,IGNU
Ayurveda, Delhi
Hi I can use nonfat capsules I have pcod problem egg not growing ovarian cyst not there So I have to reduce weight 64...
Starts taking frequent meals. As it increase your mrtabolism. Do not skip your major meal. Second start to take salt free dinner at least 3 to 4 days in a week. You can start herbal water according to your body type.
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REPORTING PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?

MD - Pathology
Pathologist, Noida
REPORTING  PLATELET COUNTS IN DENGUE – MANUAL OR AUTOMATED ? Which is more reliable ?
 Platelets are the smallest type of blood cells. They are important in blood clotting. When bleeding occurs, the platelets swell, clump together, and form a sticky plug that helps stop the bleeding. If there are too few platelets, uncontrolled bleeding may be a problem.
In the current season, dengue is not the only cause of decrease in platelet counts. Other causes like malaria, other viral infections, Vitamin B12 and folate defiiency etc can also cause reduction in platelet counts. That said, dengue patients may also clinically present without any decrease in platelet counts.

It is well-known that thrombocytopenia ( reduction in platelet counts) is one of the critical parameters in patient management. Therefore, it is very important that laboratories assess platelet counts with utmost accuracy. The normal range of platelet count in a healthy adult individual is 150000 - 400000/μL. Babies and children have different reference ranges.compared to adults Therefore please check on the lab report for normal age wize reference range. A count of 1.5 lacs would be considered as normal in adults but would qualify as decreased count in a child.

Platelets can be counted either on automated machines( automated method) or on manual blood smear by pathologist.(manual method).

Generally hospitals and laboratories measure platelet counts on automated hematology analyzers- as .these are simple to use and give fast results.However, they suffer from a very big disadvantage. This disadvantage is based on the principle on which these machines work.The machines are programmed in such a manner that any blood particle falling within a predermined size range is counted as platelet and above this range is counted as red cell(RBC – which contains hemoglobin and is responsible for red colour of blood).Although this concept works well in majority of cases, but machine readings are seldom reliable , especially when platelet counts are below 30,000/ cmm. Giant platelets will be counted as RBCs and the machine will give a factitiously low reading of platelets. - Again , if the sample has not been properly mixed at the time of collection, platelets will stick and form clumps. Again the size of these clumps will be more than that of individual platelets and machine will count these as RBCs , thus give a falsely low platelet count. Also, if the sample is collected in a periphery and takes a lot of time to reach the main lab , by this time the platelets would have swelled up due to presence of additives in the blood tube, and not be counted in platelets.but as RBCs instead. (due to size factor)
So what is the solution, ?
All such cases, where platelets are reported low on analyzers, must be screened on peripheral smear by pathologist. Only on looking at the peripheral smear , will the pathologist be able to confirm whether the platelet counts are actually low or not.

Summary : The analyzer is reliable in majority of cases . However, for all cases with low platelets, manual screening by a pathologist is must for confirmation and to avoid unnecessary panic and unrequired platelet transfusions.
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Dear Doctor, I recently married one month ago. My wife did not get periods, its almost crossed one month, we are so worried about this, is that a symptom of pregnancy? If it is a symptom, shall we stop that pregnancy. Kindly do the needful.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Dear Doctor, I recently married one month ago. My wife did not get periods, its almost crossed one month, we are so w...
Hi lybrate-user. Delayed periods is definately the most confirmatory sign of pregnancy. Please do a home pregnancy test and check. Let me know the result and we can handle the issue as per your need. All the best.
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Hi doctor, I am 37 week pregnant women ,i had a pain in my back bone while I am sleeping state and some time I had a pain in my lower abdomen while walking and band on knees and my baby movements so much mature.

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Hi doctor, I am 37 week pregnant women ,i had a pain in my back bone while I am sleeping state and some time I had a ...
Dear lybrate-user, some aches and pains are regular features towards the end of pregnancy. Continue with pre natal exercises to help you deliver normally. If your baby's movements are painful please tell your gynaecologist so she will get certain blood tests done for you.
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Hi, I am sle patient can't get period without medicines from last 8 Months I am taking treatment of infertility last month my follicular study is like this 25mm and 26mm but I didn't conceive now my doctor has given me lupi hmg75 injection is there any possibility of getting my pregnant I want a baby please help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Hi, I am sle patient can't get period without medicines from last 8 Months I am taking treatment of infertility last ...
follicle should rupture for conception you have to take hcg injection and confirm the rupture of egg then have the intercource
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Hello doctor, m waiting for my periods still not happened, every month 30 is my date. But in august l dint got my periods, in June we had sex in 13th n I took ipill & my period date was 30, n then July 8th we had again this time I dint have ipill, n on 15th July I got period means after just 15 days. I really got shocked. N after that till waiting for my period, I have took test also 3 time it's showing negative, and also m having stomach pain same like periods once, but nothing is happening. please suggest m soo tensed. Thank you.

DHMS (Hons.)
Homeopath, Patna
Hello doctor, m waiting for my periods still not happened, every month 30 is my date. But in august l dint got my per...
Hello, Lybrate user, It so happens some times, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 polls, thrice. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care.
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Hi. I'm 26 years old and having 8 months old baby. I was weighed 60 kg in my pre-pregnancy and now I'm 84 after my pregnancy. I just want to reduce my weight and be healthy. What should I do to reduce my weight and what diet should I take? Kindly suggest. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Patience is the key. It took nine months for your tummy muscles to stretch to accommodate a full-term baby. So it makes sense that it can take that long, or longer, to tighten up again. The speed and degree of this tightening up depends on a few factors, including: • What shape and size you were before you conceived your baby. • How much weight you gained during pregnancy. • How active you are. • Something you can't do anything about: your genes. You may find it easier to shed the weight if: • You gained less than 13.6kg and exercised regularly during pregnancy. • You breastfeed. • This is your first baby. NOTE you shouldn't aim to be back to your pre-pregnancy weight until about six months after your baby's birth. How can you safely lose weight to help your belly look better? Breastfeeding may help, especially in the early months after giving birth. If you breastfeed, you'll burn extra calories to make milk – about 500 calories a day. You may lose your pregnancy weight more quickly than mums who bottle-feed their babies. Breastfeeding also triggers contractions that help to shrink your womb, making it a workout for your whole body. However, if you eat more than you burn off, you will put on weight, even if you breastfeed. It's fine to lose weight while you are breastfeeding. Your body is very efficient at making milk, and losing up to 1kg a week shouldn't affect the amount of milk you make. However, if you have a newborn to look after, you'll need plenty of energy. Trying to lose weight too soon after giving birth may delay your recovery and make you feel even more tired. It’s especially important not to attempt a very low-calorie diet. So try to wait until you've had your postnatal check before start trying to lose weight. Eating healthily, combined with gentle exercise, will help you to get in shape. The following general guidelines will help you to achieve and maintain a healthy weight: • Make time for breakfast. • Eat at least five portions of fruit and vegetables a day. • Include plenty of fibre-rich foods, such as oats, beans, lentils, grains and seeds, in your diet. • Include a starchy food such as bread, rice, pasta (preferably wholegrain varieties for added fibre) or potatoes in each meal. • Go easy on high-fat and high-sugar foods, such as biscuits and cakes. • Watch your portions at mealtimes and the number and type of snacks you eat between meals. There's no right answer about how many calories a day you should have. The amount you need to eat depends on your weight and how active you are. What else can you do to help regain your pre-pregnancy belly? Exercise can help to tone stomach muscles and burn calories. If you exercised right up until the end of your pregnancy, you can do some light exercise and stretching from the start. If you stopped exercising during your pregnancy or are a newcomer to fitness, it is better to start exercising more slowly. Fitness aside, all new mums can begin pelvic floor exercises and work on gently toning up lower tummy muscles as soon as they feel ready. This may help you to get back to your pre-pregnancy shape and help to flatten your tummy. When you feel up to it, take your baby out for walks in his pushchair. Getting out and about will help to lift your mood and exercise your body gently. You may find there are pushchair workouts with other new mums in your local park.
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Hi doctor, I am 23 years old & I skipped my period. I used to get regular periods. My period was on 28th April (28 days) now its may 4 (34 days). We had an intercourse. Getting symptoms as abdominal pain, too much hungry, hair fall, pimples. Am I pregnant? Please help me.

DHMS (Hons.)
Homeopath, Patna
Hi doctor, I am 23 years old & I skipped my period. I used to get regular periods. My period was on 28th April (28 da...
Hello, symptoms felt has no concern with pregnancy, need home pregnancy test to confirm the exact condition, please, moreover,  Tk, plenty of water to hydrate yourself ,to eliminate toxins diluting your blood to establish your flow.  * go for meditation to reduce your stress, anxiety to calm your nerve ,improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to avoid gastritis  •TK, Apple,carrots, cheese,milk, banana,papaya, pomegranate, spinach, to improve your haemoglobin to release your flow, timely. • Tk, Homoeo medicine, being gentle, rapid & safe in administration. @ Pulsatilla 30-6 pills, thrice. @ Sepia200 -6 pills at bed time. * Ensure, sound sleep in d night for at least 7 hrs. •Avoid, caffiene,junkfood, dust,smoke, exertion •Your feedback will highly b appreciated for further, follow up.•Tk, care,
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Whether there is a chance of getting HIV when had a sex with a married women having 1 year baby.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
There is always a chance of getting some sexually transmitted disease like HIV due to unprotected sex with an unknown partner, unless proven otherwise. A married woman naturally has another sexual partner in form of her husband whose sexual contacts also have to be taken into account.
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